arXiv subjects

Yinxiang Wu

Publications and source records attributed to Yinxiang Wu.

4 recordsLinked to original sources

arXiv2026

Proximal Learning for Trials With External Controls: A Case Study in HIV Prevention

With the advent of effective pre-exposure prophylaxis agents, active-controlled HIV prevention trials have become a common study design. Nevertheless, estimating absolute efficacy relative to a placebo remains important. In this paper, we introduce a novel application of proximal causal inference methods to estimate the counterfactual cumulative HIV incidence under placebo for participants in an active-controlled trial of cabotegravir, using external control data from a placebo-controlled trial with similar eligibility criteria. We leverage baseline sexually transmitted infection status and geographic region as negative control outcome and exposure variables, respectively. We address two key challenges: unmeasured differences in HIV risk between trials and statistical difficulties arising from low HIV incidence rates in both studies. To overcome these challenges, we develop two proximal inference approaches: (1) a semiparametric inverse probability of censoring weighting estimator, and (2) a two-stage regression-based strategy tailored to low-event-rate settings. Our theoretical and numerical investigations demonstrate these methods yield reliable estimates of the counterfactual one-year cumulative HIV incidence under placebo, and provide robust evidence of the superior efficacy of cabotegravir compared with placebo. These findings highlight the potential of proximal inference methods to estimate placebo-controlled effects in both single-arm and active-controlled trials by leveraging external controls.

stat.ME↗

arXiv2025

Group Identification and Variable Selection in Multivariable Mendelian Randomization with Highly-Correlated Exposures

Multivariable Mendelian Randomization (MVMR) estimates the direct causal effects of multiple risk factors on an outcome using genetic variants as instruments. The growing availability of summary-level genetic data has created opportunities to apply MVMR in high-dimensional settings with many strongly correlated candidate risk factors. However, existing methods face three major limitations: weak instrument bias, limited interpretability, and the absence of valid post-selection inference. Here we introduce MVMR-PACS, a method that identifies signal-groups -- sets of causal risk factors with high genetic correlation or indistinguishable causal effects -- and estimates the direct effect of each group. MVMR-PACS minimizes a debiased objective function that reduces weak instrument bias while yielding interpretable estimates with theoretical guarantees for variable selection. We adapt a data-thinning strategy to summary-data MVMR to enable valid post-selection inference. In simulations, MVMR-PACS outperforms existing approaches in both estimation accuracy and variable selection. When applied to 27 lipoprotein subfraction traits and coronary artery disease risk, MVMR-PACS identifies biologically meaningful and robust signal-groups with interpretable direct causal effects.

stat.ME↗

arXiv2024

A More Robust Approach to Multivariable Mendelian Randomization

Multivariable Mendelian randomization (MVMR) uses genetic variants as instrumental variables to infer the direct effects of multiple exposures on an outcome. However, unlike univariable Mendelian randomization, MVMR often faces greater challenges with many weak instruments, which can lead to bias not necessarily toward zero and inflation of type I errors. In this work, we introduce a new asymptotic regime that allows exposures to have varying degrees of instrument strength, providing a more accurate theoretical framework for studying MVMR estimators. Under this regime, our analysis of the widely used multivariable inverse-variance weighted method shows that it is often biased and tends to produce misleadingly narrow confidence intervals in the presence of many weak instruments. To address this, we propose a simple, closed-form modification to the multivariable inverse-variance weighted estimator to reduce bias from weak instruments, and additionally introduce a novel spectral regularization technique to improve finite-sample performance. We show that the resulting spectral-regularized estimator remains consistent and asymptotically normal under many weak instruments. Through simulations and real data applications, we demonstrate that our proposed estimator and asymptotic framework can enhance the robustness of MVMR analyses.

stat.ME↗

arXiv2023

Analysis of the 24-Hour Activity Cycle: An illustration examining the association with cognitive function in the Adult Changes in Thought (ACT) Study

The 24-hour activity cycle (24HAC) is a new paradigm for studying activity behaviors in relation to health outcomes. This approach captures the interrelatedness of the daily time spent in physical activity (PA), sedentary behavior (SB), and sleep. We illustrate and compare the use of three popular approaches, namely isotemporal substitution model (ISM), compositional data analysis (CoDA), and latent profile analysis (LPA) for modeling outcome associations with the 24HAC. We apply these approaches to assess an association with a cognitive outcome, measured by CASI item response theory (IRT) score, in a cohort of 1034 older adults (mean [range] age = 77 [65-100]; 55.8% female; 90% White) who were part of the Adult Changes in Thought (ACT) Activity Monitoring (ACT-AM) sub-study. PA and SB were assessed with thigh-worn activPAL accelerometers for 7 days. We highlight differences in assumptions between the three approaches, discuss statistical challenges, and provide guidance on interpretation and selecting an appropriate approach. ISM is easiest to apply and interpret; however, the typical ISM model assumes a linear association. CoDA specifies a non-linear association through isometric logratio transformations that are more challenging to apply and interpret. LPA can classify individuals into groups with similar time-use patterns. Inference on associations of latent profiles with health outcomes need to account for the uncertainty of the LPA classifications which is often ignored. The selection of the most appropriate method should be guided by the scientific questions of interest and the applicability of each model's assumptions. The analytic results did not suggest that less time spent on SB and more in PA was associated with better cognitive function. Further research is needed into the health implications of the distinct 24HAC patterns identified in this cohort.

stat.AP↗